# EUGENE D ROHACZ D P M P C

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EUGENE D ROHACZ D P M P C
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518201920
- **Legal business name:** EUGENE D ROHACZ D P M P C
- **Authorized official:** DR. EUGENE D ROHACZ D.P.M. (OWNER)
- **Authorized official phone:** (517) 780-7880

## Contact information

- **Practice address:** 1518 W MICHIGAN AVE, JACKSON, MI 49202-4025
- **Practice address phone:** (517) 780-7780
- **Practice address fax:** (517) 437-0372
- **Mailing address:** 1518 W MICHIGAN AVE, JACKSON, MI 49202-4025
- **Mailing address phone:** (517) 780-7780
- **Mailing address fax:** (517) 437-0372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 5901001700 | MI | Yes |

## Other

- **Enumeration date:** 11/26/2012
- **Last updated:** 05/01/2015